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GROUP ENQUIRY FORM

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Accommodation Requirements:

  
       
 

Purpose of visit: (optional)

Preferred Location: (optional)
 

Accommodation Only:

 OR

Residential Conference:

  

(accommodation & conference at the same venue)
       

Audio/Visuals Required:

  

Numbers:

Number of Delegates:

Multiple-Bed Room Acceptable:

  
 

No. of Single Beds:

No. of Double Beds Required:

  
 

Catering Required:

  
 

Catering Required:

  If yes, select the catering you require below

  
 

Coffee Breaks

Breakfast

Lunch

Dinner
 

Budget:

  
 

Total Budget

OR

Daily Price P/Person

  
 

Contact Details:

  
 

Title:

        
 

First Name:

  

Last Name:

  
 

Please supply at least one phone number so we can contact you if we experience technical or other difficulties also  check your email address is correct  as we are unable to reply to enquiries with incorrect email addresses.

  

Home Ph:
(with area code)

Work Ph:
(with area code)

Email:
(needed to reply)

Fax:
(with area code)

  
 

Country of Residence:

 

Arrival and Departure Dates:

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Arrival Date:

Departure Date:

  

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M-POWER ACCOMMODATION PTY LTD

Phone: +61 2 9318 2361Fax: +61 2 9319 7195Email:  info@m-power.net

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